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North Dakota rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $4.27 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.72 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.78 / $3.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.91 / $4.17